14D0987375 CLIA NUMBER - GLENDALE HEIGHTS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 14D0987375
  • Facility Name: GLENDALE HEIGHTS DIALYSIS CENTER
  • Facility Address: 130 E ARMY TRAIL RD
    GLENDALE HEIGHTS, IL
    ZIP 60139
  • Facility Phone: (630) 924-7286
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ERNEST DE JESUS
  • NPI Number: 1447644828
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D0987375
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLENDALE HEIGHTS DIALYSIS CENTER
Street 130 E ARMY TRAIL RD
City GLENDALE HEIGHTS
State IL
ZIP 60139
Phone 6309247286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ERNEST DE JESUS

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This page was last updated on: 5/18/2026